Exam 12: The Ankle and Foot Complex

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Describe the superior and inferior tibiofibular joints,including classification and their composite function.

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The superior and inferior tibiofibular joints perform the function of maintaining the mortise while permitting some motion between the malleoli,which is necessary to permit full range of ankle motion.The superior tibiofibular joint is a plane synovial joint between the head of the fibula and the posterolateral tibial condyle.It has a separate joint capsule,which generally has no connection with the knee joint.The inferior tibiofibular joint is a syndesmosis,a fibrous union of the distal tibia and fibula.The two joints maintain the apposition of the tibia and fibula,assuring an appropriate (but slightly changing)grip of the mortise on the talus and,therefore,stability of the ankle joint.

When a person supinates during a closed chain activity,the head of the talus dorsiflexes and ________________on the calcaneus while the calcaneus ____________________.

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D

You observe that your patient has excessive flattening of the medial longitudinal arch.You hypothesize that the excessive flattening is due to excessive lengthening of the ligaments that support the medial longitudinal arch.Which of the following structures would be excessively lengthened?

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What is the close-packed position for the subtalar joint? Which motion of the tibia will lock the subtalar joint?

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Which of the following combinations of ligaments makes up the primary ligamentous support of the medial longitudinal arch?

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What ligaments contribute to support of the osseoligamentous arch of the foot on either the medial or lateral side?

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Your patient injured his ankle when landing with his foot and ankle in an inverted and plantarflexed position.A ligament that limits these motions is torn.Which of the following ligaments would most likely be torn with this type of injury?

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During supination at the subtalar joint,the axes of the transverse tarsal (midtarsal)joints become ____________________,resulting in greater ________________of the foot during gait.

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Which functions of the foot are best achieved by supination at the foot?

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How does pronation twist of the tarsometatarsal (TMT)joints relate to supination of the subtalar joint?

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Describe the three articular surfaces of the subtalar joint,including the capsular arrangement.

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Which of the following is a primary function of the foot?

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In standing,when the subtalar joint is in supination,what is happening at the midtarsal joints and the forefoot?

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Describe the articulations of the transverse tarsal joint.

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Due to triplanar motion,which motion occurs at the talus with talocrual dorsiflexion?

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Your patient was casted and presents with limited plantarflexion range of motion (ROM)at the talocrural joint.What associated movements at the superior tibiofibular joint would you expect to be limited?

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What is the weight distribution through the various joints from the ankle through the metatarsal heads in unilateral stance?

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During closed chain pronation,____________________.

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The talocrural joint functions in the motion of dorsiflexion and plantarflexion.Due to triplanar motion at this joint,what other motion occurs with dorsiflexion?

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What is the function of the tarsometatarsal (TMT)joints in relation to the talocalcaneonavicular and the transverse tarsal (TT)joints?

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